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Get and Sign Pa Form Transfer Care 2014-2022

Get and Sign Pa Form Transfer Care 2014-2022

Use a pa form ems 2014 template to make your document workflow more streamlined.

With Report Zip Pulse Blood Pressure VITAL SIGNS Resp Glucose SaO2 Yes Mental Status AVPU Alert Voice Pain Unresponsive ECG Rhythm 12-lead ECG Interpretation Copy of Rhythm Strip/ all 12-lead ECGs Delivered with Report EMS TREATMENT Medication/ Intervention IV No IV Fluid Type PROVIDER TRANSFERRING CARE QRS Provider NOTES / COMMENTS Dose Size/Location Total IV Fluid Volume Given Oxygen mL CERTIFICATION NUMBER LPM CARE TRANSFERRED TO Receiving Hospital/Agency Name Time of Transfer Receiving...
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